MR. ADAM HICKENBOTHAM, OD

Optometrist

Active Individual
NPI: 1063462778

Practice Address

122 E 1700 S BLDG 3
Provo, UT 84606

Phone: (385) 248-5550

Specialties

Specialty Code Primary License
Optometrist 152W00000X No OPT 12423 TPA (CA)

Frequently Asked Questions

NPI 1063462778 is the National Provider Identifier for MR. ADAM HICKENBOTHAM, OD, a Optometrist provider located in Provo, UT. This NPI was enumerated on May 11, 2006.
MR. ADAM HICKENBOTHAM, OD practices at 122 E 1700 S BLDG 3, Provo, UT 84606.

Quick Facts

NPI
1063462778
Type
Individual
Enumerated
May 11, 2006
Last Updated
Dec 3, 2024

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